Individual
EMBER LYNN FIEGENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4846 PARK GLEN RD, ST LOUIS PARK, MN 55416-5702
(651) 802-2533
Mailing address
4846 PARK GLEN RD, ST LOUIS PARK, MN 55416-5702
(651) 802-2533
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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